| NPI | 1083866149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.136825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008028015) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2021-08-30 |